Test,Bank,for,Brunner,&,Suddarth's,Textbook,of,Medical-Surgical,Nursing,,15th,Edition
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,Test,Bank,for,Brunner,&,Suddarth's,Textbook,of,Medical-Surgical,Nursing,,15th,Edition
ion
,Test,Bank,for,Brunner,&,Suddarth's,Textbook,of,Medical-Surgical,Nursing,,15th,Edition
Chapter 1:Professional Nursing Practice
, , , ,
1. A,nurse,has,been,offered,a,position,on,an,obstetric,unit,and,has,learned,that,the,unit,
offers,therapeutic,abortions,,a,procedure,that,contradicts,the,nurse's,personal,beliefs.
What,is,the,nurse's,ethical,obligation,to,these,clients?
,
A. The,nurse,should,adhere,to,professional,standards,of,practice,and,offer,service,to,t
hese,clients.
B. The,nurse,should,make,the,choice,to,decline,this,position,and,pursue,a,different,nur
sing,role.
C. The,nurse,should,decline,to,care,for,the,clients,considering,abortion.
D. The,nurse,should,express,alternatives,to,women,considering,terminating,their,pr
egnancy.
ANS:,B
Rationale:,To,avoid,facing,the,ethical,dilemma,of,providing,care,that,contradicts,the,nur
se’s,personal,beliefs,,the,nurse,should,consider,working,in,an,area,of,nursing,that,wo
uld,not,pose,this,dilemma.,The,nurse,should,not,provide,care,to,the,client,because,it,is
a,conflict,of,personal,values.,The,nurse,should,not,deny,care,to,these,clients,as,this,wo
,
uld,be,a,breach,in,the,Code,of,Ethics,for,nurses.,If,the,client,is,not,requesting,informatio
n,for,alternatives,to,abortions,,then,the,nurse,should,not,be,providing,this,informatio
n.
PTS:,1,REF:,p.,27
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,TOP:,C
hapter,1:,Professional,Nursing,Practice
KEY:,Integrated,Process:,Caring,
BLM:,Cognitive,Level:,Apply,NOT:,Multiple,Choice
2. An,80-year-old,client,is,admitted,with,a,diagnosis,of,community-
acquired,pneumonia.,During,admission,the,client,states,,"I,have,a,living,will.",
What,implication,of,this,should,the,nurse,recognize?
A. This,document,is,always,honored,,regardless,of,circumstances.
B. This,document,specifies,the,client's,wishes,before,hospitalization.
C. This,document,is,binding,for,the,duration,of,the,client's,life.
, Test,Bank,for,Brunner,&,Suddarth's,Textbook,of,Medical-Surgical,Nursing,,15th,Edition
D. This,document,has,been,drawn,up,by,the,client's,family,to,determine,DNR,stat
us.
ANS:,B
Rationale:,A,living,will,is,one,type,of,advance,directive.,In,most,situations,,living,wills,
are,limited,to,situations,in,which,the,client's,medical,condition,is,deemed,terminal.,Th
e,other,answers,are,incorrect,because,living,wills,are,not,always,honored,in,every,circu
mstance,,they,are,not,binding,for,the,duration,of,the,client's,life,,and,they,are,not,drawn
up,by,the,client's,family.
,
PTS:,1,REF:,p.,29
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care,TOP:,
Chapter,1:,Professional,Nursing,Practice
KEY:,Integrated,Process:,Communication,and,Documentation,BLM:,Cognitive,Level:,
Analyze
NOT:,Multiple,Choice
3. A,nurse,has,been,providing,ethical,care,for,many,years,and,is,aware,of,the,need,to,m
aintain,the,ethical,principle,of,nonmaleficence.,Which,of,the,following,actions,would,b
e,considered,a,violation,of,this,principle?
A. Discussing,a,DNR,order,with,a,terminally,ill,client
B. Assisting,a,semi-independent,client,with,ADLs
C. Refusing,to,administer,pain,medication,as,prescribed
D. Providing,more,care,for,one,client,than,for,another,A
NS:,C
Rationale:,The,duty,not,to,inflict,as,well,as,prevent,and,remove,harm,is,termed,nonma
leficence.,Discussing,a,DNR,order,with,a,terminally,ill,client,and,assisting,a,client,with,A
DLs,would,not,be,considered,contradictions,to,the,nurse's,duty,of,nonmaleficence.,So
me,clients,justifiably,require,more,care,than,others.
PTS:,1,REF:,p.,25
NAT:,Client,Needs:,Safe,,Effective,Care,Environment:,Management,of,Care
